PEPFAR -- the President's Emergency Plan for AIDS Relief -- is summarized by Wikipedia as follows:

The United States President's Emergency Plan For AIDS Relief (PEPFAR) is a United States governmental initiative to address the global HIV/AIDS epidemic and help save the lives of those suffering from the disease. Launched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided about $90 billion in cumulative funding for HIV/AIDS treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history until the COVID-19 pandemic.[1] PEPFAR is implemented by a combination of U.S. government agencies in over 50 countries and overseen by the Global AIDS Coordinator at the United States Department of State.[2] As of 2023, PEPFAR has saved over 25 million lives,[3][4] primarily in Sub-Saharan Africa.[1][5]

Since its inception, it has been repeatedly extended on bipartisan grounds, most recently for five years by the PEPFAR Extension Act of 2018. That extension is due to expire on September 30th, 2023. Controversy has arisen on account of perceived concerns that the Biden Administration may try to use PEPFAR to fund or promote its own ideological priorities:

Launched by President George W. Bush in 2003, PEPFAR aims at delivering antiretroviral (ARV) drugs to people with HIV/AIDS and preventing further transmission. It has resulted in a dramatic increase in life expectancy in Africa. Absent a cure for the disease, people on ARVs generally must remain on the drugs the rest of their lives. The United States currently provides treatment for 20 million people, mostly in Africa, through the program.

PEPFAR has long had pro-life support from Catholics and Protestants, including from African faith-based health providers. But debates about terms like “family planning” and “reproductive health” in language around PEPFAR have always been sticking points.

They appear to be especially sticky now. Some pro-life groups reacted strongly to a recent PEPFAR document that said the program would integrate “sexual reproductive health” into efforts to build up local health systems for HIV/AIDS treatment.

This week, the Biden administration added a footnote in the document to clarify that reproductive health under PEPFAR meant only “HIV prevention, testing, and treatment services,” “education, testing and treatment for sexually transmitted infections,” cancer screening and treatment, and “gender-based violence prevention and care.”

Organizations like the Family Research Council and the Heritage Foundation have argued against a simple extension on the above grounds, as well as on grounds of perceived political discrimination:

PEPFAR has also become increasingly politicized, with the Biden administration and PEPFAR partners seeking to add their domestic social priorities (such as abortion on demand and the promotion of radical gender ideology) to a program intended to provide lifesaving assistance for the poorest and most marginalized. Using the massive financial power of PEPFAR in poor countries to force an alien social agenda on unwilling and marginalized communities amounts to cultural imperialism and neocolonialism. It also severely damages the soft-power relationships needed to combat a rising China, which is expanding in Africa and doesn’t require its partners to violate their core beliefs to receive aid.

An analysis of political contribution data from the Federal Elections Committee explains why supposedly nonpartisan development agencies and government-funded development contractors and NGOs all seem to promote this leftist agenda, even at the expense of the overall health of the most marginalized. Almost all employee contributions from PEPFAR implementers went to Democratic Party candidates and causes. State Department employees gave 93 percent of their contributions to Democrats, USAID employees gave them 96 percent, and the largest PEPFAR contractor, Chemonics, gave 97 percent to Democrats, while the large non-profits involved gave 99.8 percent.

This massive disparity suggests systemic and institutionalized political discrimination.

...

Before providing further funding to PEPFAR, Congress should require reform that transitions this 20-year emergency program into a development program focused on creating local capacity to prevent and treat HIV/AIDS. Congress should require that the U.S. Global AIDS Coordinator (who is responsible for managing PEPFAR) provide an explanation for the political discrimination in hiring by these agencies and organizations and a plan to redress the imbalance.

All of this has created concern that PEPFAR may fail to be extended.

This question will resolve "Yes" if before September 30th, 2023, PEPFAR has been extended by an act of Congress which has been signed into law by the President of the United States of America, and will otherwise resolve "No." Extension of any duration will qualify.